Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Mark Anthony Pane, PA

Individual provider Medical Physician Assistant · NPI 1801845722

Mr. Mark Anthony Pane, PA is a Physician Assistant in Winston Salem, North Carolina. Qualified in 2004, 22 years ago. Practices with Wake Forest Health Network LLC, a 271-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
22
Licensed in
NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

145 Kimel Park Dr Ste 100
Winston Salem, NC 27103-6983
Phone: (336) 768-6347
Fax: (336) 760-9393
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 104208 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 104208 (NC)

Record details

NPI number1801845722
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 8, 2006
Last updated in NPPESMay 23, 2024
Certification dateMay 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Wake Forest Health Network Llc — 271 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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